Why Nobody Talks About This

I only recently heard the word perimenopause for the first time. I am not young, and I am not uninformed. And yet — the word was new to me. That absence alone tells you something.

We are in 2026. Women have existed on this planet since the beginning. Every single one of us who lives long enough goes through this. And somehow, for most of human history, this process was not considered worthy of serious attention. Not by medicine. Not by science. Not by culture.

I find that strange. I find it more than strange.

Because from the inside, this does not feel like an ending. It feels like a reorganization of something that was always there. A redistribution of power — inward, deeper, into territories that don’t have names yet. It touches everything: the body, yes, but also how I think, how I feel, what I want, and how I want it. It is one of the most profound processes I have moved through. And nobody warned me it was coming.


What got studied, and what didn’t.

For most of recorded medical history, the body that science treated as universal — the default human — was male. Women’s bodies entered the research when they were relevant to reproduction: fertility, pregnancy, birth. Once that chapter closed, interest followed. Menopause was not framed as a transition into something. It was framed as the end of something. The end of usefulness, within a system that had already decided what usefulness meant.

This wasn’t accidental. A woman’s social value had been tied to her reproductive capacity for so long that the science simply reflected the culture. You don’t map territory you’ve already written off.


But evolution didn’t write it off.

We are one of the only species on earth that survives long past the end of the reproductive cycle. Orcas are another. And in orca pods, it is the post-reproductive females who lead. They carry the memory, the knowledge of where food is in scarce years, the history of the pod. The others follow them.

Science has a name for why this exists in humans too — the Grandmother Hypothesis. The idea that a woman freed from gestating could redirect that energy outward: toward grandchildren, toward the tribe, toward the kind of accumulated knowledge that kept communities alive, through danger, through generations. The tribe with wise older women survived better.

Evolution does not keep you alive by accident. There is a reason for this chapter. We just never bothered to understand it.


Science is catching up. Culture hasn’t.

In recent years, perimenopause and menopause have started to appear in serious research — the hormonal shifts, the neurological changes, the emotional and psychological dimensions of the transition. This matters. It is progress.

But the values were already formed long before the studies arrived. They calcified over centuries. New knowledge doesn’t automatically dissolve old structures. It enters them, and the structures resist.

So here we are: the science is expanding, slowly, and the culture is lagging behind, as it always does. What we need is for both to move together — the physiological understanding and the cultural one, the research and the reckoning. One without the other changes very little.


Why the dismissal still persists.

Beauty culture has a financial interest in making women feel they are losing something rather than entering something. The economy values output, reproduction, youth. Older women fall outside that model, and so they are made to feel they are falling outside relevance itself.

But a woman who understands she is becoming — who is shedding performance, moving closer to her own center, no longer available for certain kinds of diminishment — is threatening to systems that depend on our insecurity.

The value we have been taught to believe we hold in society is not real. It was constructed to serve a particular structure of power. And it was never the whole story.

The map of what this transition actually is — in the body, in the psyche, in the life — was never drawn. Or it was deliberately left blank.

We are drawing it now. And that is not a small thing.

That is the work.

Juni 29, 2026 — Tatiana Okuma